Licata, Patty C

Licata, Patty C is an individual health care provider with primary practice located at 1565 Saxon Blvd Suite 301, Deltona FL 32725-5876. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Licata, Patty C can be contacted via phone (386) 851-0901.

Contact Information

Primary practice address
1565 Saxon Blvd Suite 301 Deltona FL 32725-5876
Phone: (386) 851-0901
Fax: (386) 851-2426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT13460 Florida

Profile Details

NPI number 1780624734
LBN Legal business name Licata, Patty C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780624734 NPPES
Florida Other Y094Q BLUE CROSS BLUE SHIELD

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